SYRINGA PSYCHOTHERAPY (NPI# 1679860746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679860746 |
| Entity Type | Organization |
| Organization Name | SYRINGA PSYCHOTHERAPY |
| Practice Address |
212 N 1st Ave Suite 203 Sandpoint ID 83864-1436 |
| Practice Telephone | 2089465242 |
| Mailing Telephone | 2089465242 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2011-07-08 |
| Authorized Official Name | MR. CLARK EDWARD RICHMAN (PARTNER) |
| Authorized Official Telephone | 2089465242 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | LPC-4235 | ID | Agencies |
| Y | 251S00000X | Community/Behavioral Health | LCPC-4465 | ID | Agencies |
| Street Address |
212 N 1ST AVE SUITE 203 |
| City | SANDPOINT |
| State | ID |
| Zip Code | 83864-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972626182 | Creekside Counseling Center | Social Worker | 212 N 1st Ave, Suite G100, Sandpoint, ID 83864-1436 | 2007-04-10 |
| 1902157969 | Robin Zimpel | Counselor | 212 N 1st Ave, Suite 200, Sandpoint, ID 83864-1436 | 2012-09-30 |
| 1629367461 | Ashley Dee Wendland | Counselor | 212 N 1st Ave, Suite 203, Sandpoint, ID 83864-1436 | 2011-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
| 1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
| 1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
| 1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
| 1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
| 1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
| 1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
| 1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
| 1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
| 1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
| Find all providers in zip 83864 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427200955 | Sandpoint Public Charter School Inc. | Community/Behavioral Health | 614 S Madison Ave, Sandpoint, ID 83864-8724 | 2008-10-15 |
| 1649465980 | A New Hope Social Services Pllc | Community/Behavioral Health | 312 S First Ave Lowr Level, Sandpoint, ID 83864-1202 | 2007-09-10 |
| 1487873469 | Alternative Community Enrichment Services | Community/Behavioral Health | 1500 Highway 2 Ste 336, Sandpoint, ID 83864-1793 | 2007-04-25 |
| 1144342478 | Wanda G. Fox | Community/Behavioral Health | 819 Hwy 2 Pioneer Sq. 204, Sandpoint, ID 83864-0000 | 2007-04-06 |
| 1467514554 | Alliance Family Services North, Inc. | Community/Behavioral Health | 608 S Division Ave, Sandpoint, ID 83864-1749 | 2006-12-14 |
| 1700324308 | Majeski Counseling | Community/Behavioral Health | 301 N 1st Ave, 202, Sandpoint, ID 83864-1456 | 2017-02-03 |
| 1003260357 | Pennyfarthing LLC | Community/Behavioral Health | 520 Cedar St, Ste A, Sandpoint, ID 83864-1569 | 2016-04-22 |
| 1215340138 | Lifeline Resources | Community/Behavioral Health | 2023 Sandpoint West Dr, Sandpoint, ID 83864-7304 | 2014-06-09 |
| 1366697575 | Alliance Family Services North | Community/Behavioral Health | 608 S Division Ave, Sandpoint, ID 83864-1749 | 2008-12-02 |
| 1831310804 | Alternative Community Enrichment Services | Community/Behavioral Health | 1500 Highway 2 Ste 336, Sandpoint, ID 83864-1793 | 2007-05-01 |
| Find all providers in SANDPOINT | ||||
Please comment or provide details below to improve the information on SYRINGA PSYCHOTHERAPY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.